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Organization
SHANNON COUNTY HEALTH CENTER
Active
Organization
SHANNON COUNTY HEALTH CENTER
Active
Other names
Shannon County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KANDRA COUNTS (ADMINISTRATOR)
(573) 226-3914
Entity
Organization
Contact information
Practice address
18018 GREY JONES DRIVE, EMINENCE, MO 65466
(573) 226-3914
(573) 226-3240
Mailing address
PO BOX 788, EMINENCE, MO 65466-0788
(573) 226-3914
(573) 226-3240
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280563404
—
MO
Enumeration date
03/06/2007
Last updated
09/10/2018
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